Re: OB: Prior infundibulation

From: art fougner, md (evsono@pipeline.com)
Thu Aug 5 07:36:40 2004


All these vaginal incisions have the potential to induce more blood-loss than a C-section. Setting aside the issue of how exactly this woman was able to conceive, I feel el might be on point. Of course, my record in dealing with this situation is spotless - i have NO experience whatsoever. Garry, you would make a great Boards examiner ...

art

At Wed, 4 Aug 2004, freda wrote: >
>At 9:31 -0500 8/4/04, ob-gyn-l@obgyn.net wrote:
>>24 YO P0 at 8 weeks presents with prior infundibulation. Her clitoris
>>and clitoral hoods are gone, and the labia overlying them are fused and
>>cover the urethral opening. The vagina is patent to one finger, and I
>>can get that finger under the fused labia (i.e. like where one would
>>separate them).
>
>Do an anterior episiotomy with the birth of the head to control the
>anterior damage and repair to maintain the opening. A median or
>mediolateral episiotomy may be required also.
>
>--
>Freda Seddon
>
>Community Midwife
>Ontario, Canada
>

--
art fougner, md
ich bin ein New Yorker




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